Conshohocken Dental Group, Llc
LBN: Conshohocken Dental Group, Llc
Conshohocken Dental Group, Llc is an health care organization with primary practice located at 200 W Ridge Pike Suite #129, Conshohocken PA 19428-3702. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty.
Conshohocken Dental Group, Llc can be contacted via phone (610) 828-3535, or through Seo, Wansuk Seth via phone (610) 828-3535.
Contact Information
Primary practice address
200 W Ridge Pike Suite #129
Conshohocken PA 19428-3702
Phone: (610) 828-3535
Fax: (610) 828-3558
Website:
Authorized official contact:
Name: Seo, Wansuk Seth Doctor of Dental Medicine (DMD)
Phone: (610) 828-3535
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS038105 | Pennsylvania |
| Dental Providers / General Practice | 1223G0001X | DS036612 | Pennsylvania |
| Dental Providers / Periodontics | 1223P0300X | DS035484 | Pennsylvania |
Profile Details
| NPI number | 1619260155 |
|---|---|
| LBN Legal business name | Conshohocken Dental Group, Llc |
| DBA Doing business as | |
| Authorized official | Seo, Wansuk Seth Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2011 |
| Last updated | May 17th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619260155 | NPPES |
| Pennsylvania | MEDICAID | 102564482 |
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